A community development model of mental health

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A community development model of mental health service provision would mean support for Pacific communities to form over-arching organisations with a representative mandate to carry out several tasks. Include Pacific service users in their Pacific communities and in wider society. Integrate mental health services into pre-existing Pacific health providers in their communities. Services appropriate for integration would include clinical services, community support services, accommodation services, rehabilitation services and mental health promotion services. This type of integration would be consistent with the holistic view of the Fonofale model. Develop and promote Pacific frameworks for mental health service provision that include cultural practices such as having matua, community and cultural workers practising alongside to advise clinicians on culturally safe practice. Recruit and support Pacific peoples into the mental health workforce, using their extensive community networks in the short term and taking a more proactive role in the medium to long term towards vocational capacity-building. Reduce discrimination by making more effective and efficient use of existing social structures. Take greater responsibility for individuals and families within their communities that are known to have mental health-related problems. Allow for a closer relationship between modern and traditional healing practices and a more accepting attitude within Pacific communities for alternative practices. Ensure mental health services are more understanding of traditional perspectives, allow for alternative ways of treating Pacific consumers and relinquish some of the power that rests with medical practitioners. The power and potential of a community-based model of health service development is that it taps into the wealth of talent, expertise and altruism that conventional mainstream methods of service delivery have under-utilised. Stronger, community-owned Pacific health service provision would also lead to better use of hospital-based and specialist mental health services due to greater individual and family awareness of services that effective community involvement would generate. Many PHOs have already incorporated community representation at governance and other management levels of their organisations. Where there are significant proportions of Pacific populations enrolled, PHOs may consider strengthening Pacific community representation within their organisations.
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Primary Health Organisations: 75 Service development toolkit for mental health services in primary health care Summary of significant issues for Pacific peoples In summary, there are many significant issues that Pacific peoples face in relation to mental health.
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  • Fall '19
  • primary health care, Primary Health Organisations

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